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General NPI Number Information
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NPI Number | 1275660201
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Entity Type | Individual
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Provider Name | MARK W RHINE MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 9139 S. RIDGELINE BLVD SUITE 210
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2333
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Country | US
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Telephone | 303-338-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 9139 S. RIDGELINE BLVD SUITE 210
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2333
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Country | US
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Telephone | 303-338-4545
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16083
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License Number State | CO
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